BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNIR BUII.DER DEL('ARATION
<br />I Hr .lfm ur& Fulry .f lEruri ihd I e .raiqi l6n t,E (htudoB' l.tru l.i lor llE follosirs ,@r lsd 70.1 L
<br />tr$r6r ltn Prol66n Cd.) Any (- ) o. Couny qhth r.qu;6 ! Fm. ro odtud..lra, 'mtmre ddmlih or rqln a)
<br />rtudu.,t iorr('ill isum.., sbo r.quir6 ln .pplicd for ru.h Fflnit to 6k ! tisn.d ,l.lool lh h.or,E!licd.d puJ!@r
<br />ro rhr F.rsrB ol rrE Conrr-ld 3 l,r.r!.d lr$ tchofls I, Con]l1@ins srh sftii.n 7000 ol Dnnio. I of th. BUuB ud
<br />Prf*nN Co&) tr rhd lE or .lE a croF rhccGon ad rrE bGn lor th. nkr.d G nFioi. An! \ioLtion of S.<lDn ?0:rM'.ny
<br />rptlt6,n for a Fmir sbj(lr rh. rpplirhnt
<br />'o
<br />r .iril p.nalry of nol frtr. rhe fi\ . hundrcd d{ll6 (5500)
<br />I. 6 orG.f rh. FoFry. d m) @dotB *nh q.e6 a rlEir sL ompddi... * &llt*qtddErn Gi.t'r
<br />inraLd or otr r.d f.t 5L {Sd.?04.1, B6ire sd ProldioE C.d. t'tc ('ornBlois I-tCB tt\ .106 nor !r,r,ly lo M o$nd of
<br />rh.Flpdy wlrr lnil& d irr{r.v6lh@tr {t {h. do6 e.h wrl hinr.lf or h.rclf or ihrcugh hit or hd oqn dphy6,
<br />proriiGl rhd sh iaEloEr3 e d ilald.d d olt@d fn $L lL hffi, ilr tlili,{ o itrsov.t ir L $U with oft rd
<br />of@nplrre rlE (xG Buittd sill h.r! rlt h,&! oaFn\ilB rhi lE or tr dd mr hdd r nlrnE tlE F.Fty tr r,E FrFe.f
<br />l. ri osE of rh. FoFr', {r.rclGncl} co,nrdins shh lrcdE d conrxlG ro o'{rv.i rlE F.id (Se 7oa1, h!ffi
<br />.d Frofsioo Cn& 'I h. Cont!.to.r t.i.@ t $ rk'€ mt qply ro o o$!E ol Fop.n, $ fi. buildr or inprov6 $adn.
<br />md *ho conln(] for ruch FDj{l! wirh . Contnclorlr) licaMd puNu!.r ro th. comr^lor'! Licor. Irw)
<br />Im(\tr ond..lidrnn (r--
<br />*,y \l[:/14 r,,(
<br />I h6zby rflirn uidc rsal', oltdjuD.nc oirh. nnbtrins ldlerarn nl
<br />I h.\. rrl * l mfl{ri. ! ( driftI. of colwr r. s.lt-l@r. L. s.rl6' mmD.di,.. B D.!r ild for b! S<i bn 17u) ot th.
<br />Iihr ( od.. for th. rElM. of th. mn for $ni(h lh. pdFil a isu.rl
<br />I hsrc.nd *ill n.inrlin sort6' .omFmrnn iBuft., 6 Equn.n br s<rion lt?00 of rh. l,lu ( o&. for lh. pdfltl1rl.N ol
<br />rhc usl 16r stih rnir Fnn a ie.d My *Dtta oEFdi,n iMffi. cdir dFIE! nunhd e
<br />I cdity thd rn rlr Ffo@(. of rL *!rl fv $hah rh! Fmn i3 is.d.l.h.ll mr orphy uy Fer ir uy @E
<br />ar a'. h<or.utr.fi rorlE "$ 6 orp.dhn L*! ol ('.liloBi., ud lerlhd !II3lnuld ha.ftltid trtrlr
<br />$n*n.omFMrionpmvirioBofs.dion1700ofthcL.hr(odeI.h.ll.fonh$nhcomrlysirhrhlrlrclbbni -
<br />N,\RNIN(;: fnifur. t, su,c \ork6i.o ,pslqri,)n co\Frlc is lnlNfi'I.
<br />.nil fin6 up lo oE hlrdral lhu$rd (hlla! (!100.00t),. in lddnFn lr. r
<br />sd kn' 1076 of rh. I jhlr ( o{.- Dr6cn Md dnonEl r fG
<br />*.s \b1A &
<br />lu r-r \R.\ ll(\
<br />I h@by .rm !Rl6 Frly ol p.rjury rhd I e lica!.d uxtr rftvi'ioi ofch,ar6 I (comm.nB s irh Sdiion 7000) of Dn i.io. l
<br />of rlE BuiIB !n Pmf6ri'B C6d., -d n' la@ ir i. tull toR rn cfr.cl.
<br />ColLtlau(floll,tluac-a0ErQ
<br />I h6.ny itlid unds pcllhy ol FrJUi, r hn rh6. B . coGrtu!.th. l.dhS igdc, ao, lh. F (muc. orlh. *ort ht $ hich rh! tEn( d
<br />isu.d (S6 1097, ( iv. C )
<br />AfILICAIiI.DESIAAIIA!
<br />I hod, !rn. undd pd.hy or rojury on. of rh. foln,wins d<ltrainr.
<br />lxmli'i'n Fmire^rbca Nonfrlrx'i F.dd.l R.suL{nE (Iirl.40, Pd6)
<br />Rqur.d lnrd of Noafr cdion
<br />asrd ro conpl, wnh.ll( ny and c.u.ry
<br />ir6 olrhnCirt.,ld Counryto mt6 l4.n rh.
<br />".,1 'llr/r4
<br />I calift lnd lh. t d.r.l r.*uLlioN ratdi,a dlBloi Iw\ !l a. k{ ttplRtbk io n
<br />l..niryrhd I hr\crcodrhlr+plic.rion i,xlsiar.rharlh.rh\c inn'rsdnrn ii cotrd I
<br />"rJtre6...1 Srd.l..r Eld'is h borllrr*codddFnjn h6t6!.dhviz r$6did
<br />.h\. rmrr...d Fr*n) ld' trsp.dbrtdlK ,' t I,4,/l .t ,.)_\z^
<br />^rpri..n!
<br />or Ardr shmi;y' u / C - l, -4/ ,'
<br />=t>-*-'.-..o".7'$4g r) tJ,r\4"2
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framinq
<br />ln sulatio n/E ne rgy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />tt nF|NAL / /72o2D f.t i{pt 0y
<br />Certificate/of dccupancy
<br />Notes, Remarks, Etc
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